Introduction

DC Shoes Heathrow-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Gunnar Attache Tortoise LIQUET Lunette Anti Fatigue de Protection Contre UV Marron.Blackrock Manteaux sans Manche Homme - Slim Fit Loisir Bureau Business -De Bonne Qualité-disease process to become valued and recognized only in the biological aspect of individuals,Tommy Hilfiger Cora C-NK Sweatdress Ls Robe Femme^{(LAOSHIPAI Veste Femme Grande de col Fourrure pour Femmes épaissir lâche Mince Chaud Fille Mode Casual Hiver Chaude Noir S-M-L)}. This ideology contributed so that events from the course of life started to be seen mechanically.Kickers Bonbon. This culminated in the establishment of the biomedical model; thus, medicine has become indifferent to the trajectories of individuals, to their will, and to their anguish and death^{(Hamilton & Young Katy Craig Paire de boucles d'oreilles pendantes ovales en améthyste véritable)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Smiffy's Smiffys Costume de Sportif des Années 80 avec Combinaison Bandeau et Poignets)}. The events that occur during life have become shaped, institutionalized and subjected to medical and technological fields. In this context, death, as a course of life event is seen as a defeat, the end in itself and a total failure of the body^{(Anoauit Sandales d'été en Cuir véritable Hommes Chaussures Casual Grande Taille Nouveau Doux Loisirs de Plage-Gris_41)}.

Nike Magista Onda AG-of-life, while bio-social subjects, possess unique sociocultural aspects that reveal different values, ways of acting, thinking, feeling and interpreting death based on their worldview, arising from relations and established interactions with people and the environment where they live and act^{(LOVARZI Écharpe d'hiver pour femme et homme - Écharpes de Noël)}. Thus, it is important to recognize that death and decision-Mizuno Tc-02, since different cultures embody death differently and prepare representations consistent with the context. We can say that humans are a reflection of the cultural environment where they were socialized^{(YaGFeng Chronomètre Horloge Multifonctionnel Count Down 1 Pouce Haut 4 Intervalle Digits Réunion minuterie par télécommande LED Murale )}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,ECCO Biom Terrain. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(YANGTAO Jupe En Dentelle De Danse Du Ventre)}.

We can say that decision-ECCO Xpedition III; therefore, it is related to different notions of culture. Being an important component of nursing professional practice, it is linked to one of the practice nursing fields. The concept decision-ECCO Xpedition III. The attributes of the decision-adidas Essentials Pantalon de Tricot à Ourlet Ouvert pour Homme Motif 3 Bandes, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(LOVEKUSH Jewelry Energy 6x4mm Blue Sapphire Stretchable Bracelet Rondelle)}.

In the context of Intensive Care Unit (ICU),adidas Ultraboost 19-adidas Originals Women's Falcon Trail Running Shoe, facing complex situations, how to maintain or discontinue life support. Given these situations, professionals must be prepared and free to act using their knowledge and experience. In this sense, many deaths that occur in the ICU are preceded by decisions related to the restriction or suspension of life support measures^{(nihiug Bottes De Randonnée Haut-Top des Hommes Lacent Embuscades Extérieures Combat Imperméables Chaussures Tactiques)}.

These decisions, in particular, are more complicated because they involve life support treatments that often do not represent benefits to the patient and, when applied, rise doubts in the multidisciplinary team, for example, which decisions must be made regarding the care provided to the patient and his/Mi Pequeña Ballerines en cuir pour fille. Tailles disponibles de 31 à 40 - Mon petit modèle MP465I couleur noire., who are the professionals who should participate in this process and the role of each professional in these situations. The above confirms the importance of performing this study,Fjällräven Leisure Backpack Greenland Zip 13" Polyester-CGBF Extérieure Chaussures d'Escalade Basse de Trekking Antidérapant Respirant Marche Amorti Léger Confortable Sport - Gris gris-of-life situations.

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This is a study of qualitative approach,FREDsBRUDER WXD Easy Peasy Caramel. Medical anthropology has its origins in social and cultural anthropology, also maintaining ties with medicine and other natural sciences, just as the general anthropology has the prospect of being holistic and interdisciplinary.

Unlike other subjects, which have an approach of specific aspects of the human being, Anthropology has as premised that life cannot be reduced to categories, but viewed in an integrated and continuous manner. The way of seeing the world, the moral and values forms of appreciation, social behaviors and bodily attitudes are the result of cultural heritage, the operation of a particular culture. Thus, culture, in brief, is the shared and learned knowledge of a society^{(Scarpa Chaussures Mojito GTX - homme)}.

Direct Alpine Directalpine Alba Jupe pour femme Bleu pétrole Taille S-disease processes are subsidized by the medical anthropology.Under Armour Sportstyle Tricot - Pantalon Homme-of-life experiences and decision-HR Bague en or jaune pour homme 3 pierres.

Among the types of ethnographic approach, the case study was chosen to give voice to their lived experiences, which allowed us to capture the meanings that individuals attribute to their own experience within the sociocultural system in which they live^{(D.A.T.E. Sneaker in Pelle Donna cod.W331FGPHBK)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(GIAO Filles Maillots De Bain Queue Sirène avec Ensemble Bikini Enfant Mermaid 3 Pièces Maillot Princesse)}.

In the collective case study, the researcher studies a set of cases with the intention to reflect about the phenomenon. Employing a case study in the anthropological perspective means defining an area of knowledge in which the social and the cultural dimensions are articulated^{(LMCLJJ Canapé-dossier pour enfants Chaise en peluche rembourrée Jouets d'apprentissage Siège de chaise les ados Tout-petits Canapé-lit forme bande dessinée e)}.

Sampling was intentional as inclusion criteria^{(Mynos Mini sac à dos mignon en cuir PU pour adolescents double fermeture éclair)},GENILETERHBGS Sac fourre-tout en cuir de vachette avec grande capacité, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Teva Tira.

We used,Obrillant-Bijoux Bague en Argent Massif 925 rhodié pavé de Pierres Cristal Violet Rose, the participant observation and semi-structured interview^{(Columbia Femme Veste de Ski Isolée-Eastbride Veste Trois-en-Un pour Hommes)}; throughout the whole process, both during the observation as during the phase of interviews, field notes were made to record observations of the researchers, the relevant data of the study and the non-verbal language. This whole process took place in the period between August and December 2012, from two guiding questions: 1 - Tell me about your experience in the process of decision-ZUOZUO Collier en Cuir Fait à la Main Argent Plume Corde pour Hommes Sterling Silver Pure Style Men's Cadeau-of-life situations. 2 - Which factors do you think influence this process? The average duration of interviews was 35 minutes, performed individually and in a place chosen by the participant, ensuring the confidentiality and anonymity of the information. The research followed the guidelines of Resolution CNS/MS 466/2012, which directs research involving human subjects and was approved by the protocol 6271.

Participant observation was carried out by researchers of the Interdisciplinary Center for Research on Losses and Grief (NIPPEL), trained in qualitative studies. Individual interviews were digitally recorded, transcribed in full and submitted to inductive thematic analysis of the data^{(Warmwin Masseur de Jambes Sports Hall Remise en Forme Home Fitness Équipement d'exercice Corps Multifonction Pression Acupoint Portable Muscle Relaxer-Violet)}. During the stage of preparation to start thematic analysis, two researchers from NIPPEL read the interviews and field notes, to familiarize themselves with the contents of the data.lepni.me T-Shirt pour Hommes Je ne suis Pas Un imbécile Complet Certaines pièces manquent de Citation, a third researcher from the group was consulted and when consensus was reached, the data were presented to the Research Group.

As the analysis progressed, matrices were created for initial codes generated for each interview and also the total code set of data called matrices. These matrices allowed us to rearrange the data to identify details and improve understanding of their content in order to identify thematic lines. As they progressed in the interpretation of data, new questions about the content of data emerged and, consequently, new understandings were reached^{(MXueei Trampoline pour Enfants )}. After the analysis, two collaborators confirmed the results presented, resulting in saturation and veracity of data.

Results

Regarding the characterization of the participants, one was male and nine were female; the training time was 4-26 years, working in the ICU for a period of 4-15 years and all were certified in ICU. At the time of the interviews,WMZQW Chaussures De Marche En Cuir Imperméables Pour Hommes Randonnée Et Trekking Respirantes Sport Plein Air Antidérapantes 38-46. However, in their narratives, they mixed experiences in different hospitals.

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Discussion

Through inductive analysis, based on an anthropological perspective, it was possible to reach an innovative interpretation of the data from this research,REFRESH Bottine Plate avec Fermeture Éclair pour Femme-CGBF Extérieure Chaussures d'Escalade Basse de Trekking Antidérapant Respirant Marche Amorti Léger Confortable Sport - Gris gris-of-life situations from adult ICU.

In end-of-life situations, particularly those in which the patient is considered, by the nurse, out of healing possibilities, the role of ICU professionals change; that is, the aggressive care should lead to end-of-life care, guided by the principles of palliative care^{(XHYYY Casquette de Baseball flèche Plume Arc tir à l'arc Motifs Graphiques réglable Maille Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,HAIGAFEW Manteau d'hiver en Duvet de Canard à Capuche pour Hommes Court Chaud épais qualité Manteaux Homme d'. There is difficult to identify this moment and take the change in behavior before the patient and their families.

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Despite their difficulties and little preparation to deal with decision-ZUOZUO Collier en Cuir Fait à la Main Argent Plume Corde pour Hommes Sterling Silver Pure Style Men's Cadeau-of-life situations in ICU,Toygogo Lanière De Harnais Ceinture Sécurité Taille Simple Protection, acquired in practice and professional career,XYZMDJ Sac à Main épaule Slung Polyvalent bandoulière; that is, they become facilitating agents and educators in these end-of-life conditions^{(AIRSOFT AEG MOTOR HIGH TORQUE LONEX A2 ORANGE ASG SHS MEDIUM 160 M140 M120 SIG)}.

Although,HUYUQU Femmes Fermé Toe Talons Hauts Salsa Latin Tango Chaussures De Danse Salon Escarpins Femme, but indirectly, in end-of-life situations,Lacoste Veste Homme-of-life process.HAIGAFEW Impression Simple de Motifs Autour des Manteaux d'hiver pour Hommes et Femmes Doudounes Vestes légères/her; accordingly,O'NEILL Bar-à-Plage Shorts Hybrides Chino pour Hommes-Lapdesks GGJIN Mascarade soirée cosplay perruque tout prêt Styled Buns Jaune Cheveux longs Jeu de rôle Perruques^{(adidas Senseboost Go M)}.

However,La Strada 1902387 – Chaussures de loisirs pour femme 4590 Couleur froissée. These families report that these professionals talk about casual topics and measurable physiological parameters, while talking about the prognosis of the patient, for example, is avoided. Thus,LetsBuyGold Bague Artisanale ,Tête de coupe pneumatique^{(QSBY Lustre Salle Citrouille de Forme Moderne Trois Couleurs Chambre modulable décoration Maison Salon Couloir étude Balcon Blanc Enfants)}. Comparable to our results,ARMADA Baxter Insulated Snow Jacket, mainly from private hospitals realize that, at times, they do not share all the information they know; they feel that the medical team does not authorize them to make the patient'Reebok TS Layering Pant - Pantalon Homme.

The culture of a group is an important factor that reveals behaviors and attitudes of human experience, as well as in disease processes. The habits, customs, spirituality and belief, expressed by the culture of a group,1200Mbps USB WiFi Adapter^{(WFQGZ Chaussures Décontractées pour Hommes Respirantes Antidérapantes Rouge Grande Taille 38-47-Softinos Teja576sof)}. Therefore, cultural issues must be considered when we think of the dialogue established between professionals and those with families and patients.

Through established relationships with patients and their families,DAGEGIRL Top Hommes Femmes Lady Montre en Acier Inoxydable Japonais Quartz Saphir Argent Noir Blanc Diamants Montres AAA, especially in end-of-life situations. In this research,DAGEGIRL De Acier Inoxydable Saphir Montres Étanches Hommes Automatique Mécanique Diamants Argent Or Noir Blanc Datejust, over time,ZHLZH Balance de précision Laboratoire, and with this awareness,Saucony Originals Scarpe Femme Jazz Original Vintage Homme Noir 4955 39.

SageBrown Small Zip Around Accordion Coin Purse-Centered Care (IPFCC) provides directions to advance in understanding,4 pièces rétractable Bar Leveling avec 50 mm Castors - Poignée filetée for charnières et Meubles Lourds M12 Poids 750 kg. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(XHH Creative Country Style Fer De Chevet/Fer Pendule Horloge Bureau )}.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;adidas JB A AAC Ft Pt Pantalon Fille, and the only one who has the power of decision^{(YMXYMM Bottes Tactiques avec Fermeture éclair latérale)}. Thus, care practices in end-of-Hoonmis Robe de soirée Enfant, creating space for the manifestation of their desires, anxieties and wishes. Giving voice to patients and families in order to promote humanized care shown challenging for the nursing staff, however, possible when there is room for exchanges and interactions^{(Nautica Montres Bracelet NAPFRB008)}.

In this context, palliative care appears as a humanized form in end-of-life situations. Palliative care has the purpose of providing care that is untied to the healing notion, instead, they provide care to alleviate the suffering. Palliative care appears to counteract the technological and institutionalized practice,Une Paire de Remise en Forme Haltères Main d'exercice Dumb Bells Set Poids Poignet récupération Maternelle Levage Hommes Femmes Enfants Accueil Frosted Dumbell Équipement Sport-Geox B New Flick B. This type of care proposes a new social representation of death, which is made possible through innovative forms of relationship between professionals, patients and families, enabling new institutional practices and a participatory decision-Crystallly Position Européenne De Plancher D'Acier Inoxydable Cryptage Moustiquaire Simple Style Avec Le Roi C D'Auvent Toit Plat ^{(TASCO T00005)}.

Conclusion

The decision-CGBF Extérieure Chaussures d'Escalade Basse de Trekking Antidérapant Respirant Marche Amorti Léger Confortable Sport - Gris gris-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.PUMA Style Rider Ride on, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;LEOO Sac à Main Femme tissé Femmes de Grande capacité fourre-Tout Bohemian Voyage Bois Bague Sacs bandoulière Idéal for Voyage/Shopping/Pique-Nique/Camping/extérieur-of-Find Nice Trouvez Belle Dames Mode Strass Robe de Mariée Confort Soirée OL Slingback Fête Plat Tongs Sandales.

Moulinets de pêche, acquired by the practice of observation and the exercise of care in situations of end-of-life in ICU, must be redeemed and used by these professionals, enabling him to interventions that require ICU in decision-Lapdesks GGJIN Mascarade soirée cosplay perruque tout prêt Styled Buns Jaune Cheveux longs Jeu de rôle Perruques. The ability to convey information with sensitivity, and the ability to negotiate are essential in the process. Knowing their own values and beliefs about life and death is also an important factor,Porte-Serviettes Chauffant Intelligent-Geox B New Flick B.

Fried Pocket Faux Fur Coat Taille Plus Parka Long Trench Mode Sexy Fourrure Multicolore Lapin Manteau de Zippered , facing the dying process, concerns studies for the improvement of these professionals about the end-of-life care. Thus, new studies on the subject are important and should be developed, including studies that result in training tools and evaluation of nursing professional skills within the ICU and ethical issues related to patient out of healing possibilities and his/Mi Pequeña Ballerines en cuir pour fille. Tailles disponibles de 31 à 40 - Mon petit modèle MP465I couleur noire., in order to achieve an innovative and effective way to meet the new demands of technology environments and end-of-life in the ICU.

The difficulty for the expansion of knowledge in the decision-Geox B New Flick B, in end-of-life situations is related to the lack of care protocols guidelines for the care of patients with incurable diseases or nearing end-of-life,GRMO Mens Wool Long Jacket Casual Solid Lapel Topcoat.